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Requirements of Vitamin B12 in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with oral supplementation

In total, 61 liver cirrhosis patients were randomly assigned to placebo, vitamin B-6 (50 mg pyridoxine/d), GSH (500 mg/d), or B-6 + GSH groups for 12 weeks

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Most of the studies focus on the effect of NAC on cells and animal models with a notable absence of comprehensive clinical trial data which would lead to unknown biological effects and human health risks, thereby impeding its clinical application